Research Centre for Population, National Research and Innovation Agency (BRIN), South Jakarta, Jakarta, Indonesia
Research Centre for Population, National Research and Innovation Agency (BRIN), South Jakarta, Jakarta, Indonesia.
BMJ Open. 2024 Jun 10;14(6):e083241. doi: 10.1136/bmjopen-2023-083241.
We aimed to explore and understand the extent and type of evidence on fertility reduction and its association with family planning (FP) in Southeast Asia.
Scoping review, following the methodological principles developed by Arksey and O'Malley and Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines for reporting.
We searched PubMed/MEDLINE, ProQuest, EBSCO, Scopus, Web of Science, Google Scholar and reference lists of relevant articles between 1 January 2012 and 31 December 2022. Only open-access articles in English were considered.
For inclusion, observational studies were selected for eligibility based on the original articles investigating the uptake of FP on women aged 15-49 years and its association with fertility decline in Southeast Asian (SEA) countries.
Two reviewers screened the records independently for eligibility and extracted all data. The specific details of the studies, including data on the authors, year of publication, setting, study design, aims/objectives of the study, specific intervention, outcomes and main findings, were reported.
We retrieved 615 articles and retained 12 articles included in the analysis. Of these, 11 were quantitative studies and 1 was qualitative study. The frequently reported strategy of FP was the use of contraception. FP not only allows women to control their birth by spacing and limiting their pregnancies but also delay their first childbirth by using contraceptive methods.
Our review suggests that the FP programmes aiming at reducing fertility should have a specific focus on improving the uptake and continuation of FP services.
本研究旨在探索和了解东南亚地区关于生育力降低及其与计划生育（FP）关联的证据的范围和类型。
本研究采用了 Arksey 和 O'Malley 制定的方法学原则以及系统评价和荟萃分析扩展的首选报告项目中的范围综述指南进行报告。
我们于 2012 年 1 月 1 日至 2022 年 12 月 31 日期间在 PubMed/MEDLINE、ProQuest、EBSCO、Scopus、Web of Science、Google Scholar 和相关文章的参考文献列表中进行了检索。仅考虑英语的开放获取文章。
为了符合纳入标准，我们选择了观察性研究，这些研究是基于对 15-49 岁女性中 FP 使用率及其与东南亚（SEA）国家生育力下降的关联进行的原始研究。
两名评审员独立筛选记录以确定其是否符合纳入标准，并提取所有数据。研究的具体细节，包括作者、发表年份、研究地点、研究设计、研究目的/目标、具体干预措施、结局和主要发现等信息，均进行了报告。
我们共检索到 615 篇文章，并保留了 12 篇纳入分析的文章。其中，11 篇为定量研究，1 篇为定性研究。经常报道的 FP 策略是使用避孕方法。FP 不仅允许女性通过控制生育间隔和限制怀孕来控制生育，还可以通过使用避孕方法来延迟首次分娩。
本综述表明，旨在降低生育率的 FP 方案应特别关注提高 FP 服务的使用率和持续使用。
